Coder Iii, Physician Billing

Overview

Coder III, Physician Billing

HMH PHYSICIAN SERVICES, INC. Edison, New Jersey

Overview:
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Physician Coder III is responsible for accurately abstracting data following the ICD-10-CM, CPT, and HCPCS Guidelines for Coding and CMS directives across the Hackensack Meridian Health network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Analyzes medical records and identifies documentation deficiencies.
• Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
• Identifies reportable elements, complications, and other quality measures.
• Communicates with physicians to clarify information via the physician query process
• Assign CPT, HCPCS and ICD-10-CM codes.
• Proficient in Profee Coding and E/M guidelines (95/97, 2021 update)
• Knowledge of and ability to address NCCI and NCD/LCD edits.
• Maintains required productivity and quality requirements.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

• High School diploma, GED, and/or GED equivalent programs.
• Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
• Focused background in Physician and Profee coding with knowledge of E/M guidelines.
• Proficient in coding office/outpatient procedures in an office and outpatient hospital setting.
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including Microsoft Office and Google Suite.

• Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.
• Background in multi-specialty Physician services.

• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.
• An approved AHIMA or AAPC coding credential.

• An approved AHIMA or AAPC coding credential.

Starting at $34.65 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate.

The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including:

• Labor Market Data:
  Compensation is benchmarked against market data to ensure competitiveness.
• Experience:
  
  Years of relevant work experience.
• Education and
  
  Certifications:
  
  Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills:
  
  Demonstrated proficiency in relevant skills and competencies.
• Geographic
  
  Location:
  
  Cost of living and market rates for the specific location.
• Internal Equity:
  Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding:
  Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job…